Title Page

  • Conducted on

  • Conducted by - Name

  • Permit Number

  • Location
  • Work Description

Work Details

  • Is their a permit board with the correct information?

  • Excavation Type?

  • Weather conditions?

SLG (Signage, Lighting and Guarding)

  • Is there an NRASWA Ticket Qualified Operative on site and Supervisor contactable?

  • Have you marked all other utilities along the route of excavation?

  • Do all excavations have linked barriers to prevent access to the site from ANY direction? (including open plan, driveways and pedestrian accesses)?

  • Do all works in the road have Keep Right/Left arrows, Traffic Cones and Tapers?

  • Is SLG (Signage, lighting, Guarding) on site and placed correctly?

  • Is the signage in good condition, clean, weighted & lit (if required)?

Traffic Management

  • Is the Traffic Management correct for the works?

  • Are the road/footway plates secure and fit for purpose?

  • Have you checked the minimum widths for traffic in the<br>carriageway?

  • Is the road closure/diversion route appropriate & approved?

  • Are Pedestrian Ramps appropriately situated and are they undamaged, Ridgely fixed or rubber edged? (if required)?

  • Is your Pedestrian Management correct and safe? (1m remaining/Ped Arrows for walkways/Footway Closed Ahead of Footway Closed or visa versa)?

PPE

  • Are they wearing the correct PPE?

General Site Safety

  • Is the site tidy, and being managed considerately?

  • Are the excavations safe?

  • Is relevant H&S documentation on site?

  • General Site Safety - Pass or Fail?

Observation and Signature

  • Observation

  • Engineer signature

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